Individual
DR. PAUL RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1108 1ST ST SE, LITTLE FALLS, MN 56345-3440
(320) 631-2200
(320) 632-3728
Mailing address
1108 1ST ST SE, LITTLE FALLS, MN 56345-3440
(320) 631-2200
(320) 632-3728
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2006019877
MO
207X00000X
Orthopaedic Surgery Physician
Primary
53039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437211232
—
MN
Enumeration date
12/15/2006
Last updated
10/23/2012
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